| NPI | 1063845741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R232123) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 780538) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2018-11-07 |